Diversity and inclusion in behavioural intervention trials in multiple sclerosis: A commentary

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Abstract

There is growing evidence that characteristics such as ethnicity, sex, gender, age, comorbidity, ability and social determinants of health (SDoH) are associated with poorer health outcomes for people living with MS (pwMS).1-3 Despite having the greatest needs, people from minoritised groups are underrepresented in MS research.1 Following a recent international workshop, Marrie and colleagues1 developed recommendations to improve the diversity and inclusion (D&I) of clinical trials for MS (see Table 1). Their recommendations were largely based on the shortcomings of clinical trials of drug modifying therapies (DMTs). In this commentary, we expand on Marrie and colleagues’1 D&I recommendations in relation to developing and trialling complex behavioural MS interventions, and present some of the challenges in this area. To do this, we draw on the work of REFUEL-MS, a research programme co-funded by the National Institute for Health and Care Research (NIHR) and MS Society, which aims to develop, test, and implement a digital behavioural intervention to reduce MS fatigue.
Original languageEnglish
Pages (from-to)927-933
Number of pages15
JournalMultiple Sclerosis Journal
Volume30
Issue number8
DOIs
Publication statusPublished - 30 Jul 2024

Keywords

  • Multiple Sclerosis
  • Health Inequities
  • Fatigue
  • diversity
  • social determinants of health

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